Conceptualizing risk and effectiveness: a qualitative study of women's and providers' perceptions of nonsurgical female permanent contraception

Contraception
Elizabeth K HarringtonJennifer Aengst

Abstract

Novel approaches to nonsurgical permanent contraception (NSPC) for women that are low cost and require no incision or hysteroscope/surgical equipment could improve access to, and the acceptability of, permanent contraception (PC). To better understand opportunities and limitations for NSPC approaches, we examined women's and obstetrician-gynecologist (OB/GYN) providers' perceptions of NSPC in Portland, OR. Semistructured, qualitative interviews were conducted with 40 women recruited from outpatient clinics with purposive sampling, and a focus group was conducted with 9 OB/GYNs in academic and community practice. Transcripts were coded and inductively analyzed with a grounded theory approach. The majority of women identified as white (67%) or Latina (25%). They had a median age of 31.5 years, and median number of children was one. Perspectives on NSPC were closely aligned with women's general attitudes towards PC; over half were considering PC for themselves or partners in the future. Most respondents valued multiple aspects of a nonsurgical approach, with themes of minimizing recovery time, invasiveness and risk and avoiding hormonal contraception. Many assumed that NSPC would be less effective than surgery, however, and felt t...Continue Reading

References

Apr 1, 1996·American Journal of Obstetrics and Gynecology·H B PetersonJ Trussell
Nov 25, 2000·Obstetrics and Gynecology Clinics of North America·S Pati, V Cullins
Feb 7, 2004·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·J Zipper, E Kessel
Feb 7, 2004·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·R V Bhatt
Feb 7, 2004·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·M Bilgrami, L Shah
Sep 29, 2004·Contraception·Melissa L GilliamBeatriz Tapia
Mar 15, 2006·Contraception·Nikki ZiteMelissa Gilliam
Jun 23, 2006·AIDS and Behavior·Duncan A MacKellarUNKNOWN Young Men's Survey Study Group
Jan 1, 2008·Obstetrics and Gynecology·Herbert B Peterson
Dec 3, 2009·Phlebology·P Coleridge Smith
Feb 24, 2010·Obstetrics and Gynecology·Maria Isabel RodriguezAaron B Caughey
Sep 29, 2010·Journal of Health Communication·UNKNOWN United Nations Economic and Social Council (ECOSOC)
Oct 23, 2010·Obstetrics and Gynecology·Andrea Ries Thurman, Torri Janecek
Dec 22, 2010·Obstetrics and Gynecology·Katherine J HladkyJeffrey F Peipert
Oct 9, 2012·Contraception·Jacqueline E Darroch
Dec 13, 2012·Perspectives on Sexual and Reproductive Health·Joseph E PotterDaniel Grossman
Dec 13, 2012·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·M Antonia Biggs, Diana Greene Foster
Feb 25, 2014·Contraception·Jeffrey T Jensen
Dec 1, 2003·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·J Zipper, E Kessel

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Citations

Jul 28, 2016·Einstein·Daniella De Batista DepesReginaldo Guedes Coelho Lopes
Jan 7, 2018·Reproductive Health·Henna BudhwaniKristine R Hearld

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